Provider Demographics
NPI:1427434448
Name:COLVIN, CHRISTINA (MSW, LSW, ACSW)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:
Last Name:COLVIN
Suffix:
Gender:F
Credentials:MSW, LSW, ACSW
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:HAUF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:727 WELSH RD STE 202
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6311
Mailing Address - Country:US
Mailing Address - Phone:215-914-2119
Mailing Address - Fax:
Practice Address - Street 1:727 WELSH RD STE 202
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6311
Practice Address - Country:US
Practice Address - Phone:215-914-2119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW129013104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker